This clinically-based presentation will focus on the integration of facially-driven, implant-supported prosthetics, surgical and laboratory disciplines, combined with CBCT technology to provide a seamless approach for totally guided full-arch and full-mouth immediate implant reconstruction for the terminal dentition and edentulous patient. This protocol includes placement of a virtually created, prefabricated, computerguided nano-ceramic prosthesis for both edentulous and dentate arches. The complete workflow from diagnostics to virtual workup with proof of concept for this fully guided approach will be presented along with cases that feature indications and overall procedural sequence.